MRS. JILL V. TESEI (NPI# 1306043062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306043062 |
| Entity Type | Individual |
| Full Name | MRS. JILL V. TESEI |
| Other Name | JILL T VAUGHAN |
| Credential | A.P.R.N. |
| Practice Address |
399 East Putnam Ave. 2nd Floor Suite 1 Cos Cob CT 06807 |
| Practice Telephone | 2039066016 |
| Mailing Telephone | 2039066016 |
| Mailing Fax Number | 2034542447 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
002891 | CT | Behavioral Health & Social Service Providers |
| N | 363L00000X | Nurse Practitioner | CTAPRN002891 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
002891 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
399 EAST PUTNAM AVE. 2ND FLOOR SUITE 1 |
| City | COS COB |
| State | CT |
| Zip Code | 06807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174643530 | Maryellen Pachler Pachler Kennell | Nurse Practitioner | 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999866 | Trevor M Flouty | Home Health Aide | 532 E Putnam Ave Ste 22, Cos Cob, CT 06807 | 2019-08-28 |
| 1780805036 | Richard A Greenberg | Dentist | 211 A East Putnam Avenue, Cos Cob, CT 06807 | 2007-05-02 |
| 1841312097 | Peter Harvey Maher | Specialist | 10 Hilton Heath, Cos Cob, CT 06807 | 2007-04-06 |
| 1730249293 | Mary M Lennon | Counselor | 126 East Putnam Ave, 2nd Fl W, Cos Cob, CT 06807 | 2006-12-12 |
| 1508952375 | Michael John Mack | Dentist | 40 E. Putnam Ave., Cos Cob, CT 06807 | 2006-10-05 |
| 1366558454 | Kevin Allan Root | Counselor | 132 East Putnam Ave, Cos Cob, CT 06807 | 2006-08-22 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1902972649 | Tangley Canpbell Lloyd | Social Worker | 132 E Putnam Ave, Cos Cob, CT 06807 | 2006-11-27 |
| 1184795759 | Ellen N Wolfson | Internal Medicine | 35 River Road, Cos Cob, CT 06807 | 2006-11-13 |
| 1447367594 | Mary Elizabeth Woods | Physical Therapist | 35 River Rd, 2nd Floor, Cos Cob, CT 06807 | 2006-08-24 |
| Find all providers in zip 06807 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740611748 | Anna Gut | Clinical Nurse Specialist | 770 Saybrook Rd Bldg B-2, Middletown, CT 06457-4739 | 2013-12-02 |
| 1336388032 | Diana Ellen Johnson | Clinical Nurse Specialist | 2 Rachel Ln, Ivoryton, CT 06442-1154 | 2009-02-19 |
| 1164667978 | Lauren J Janush | Clinical Nurse Specialist | 9 Business Park Dr, Unit 1, Branford, CT 06405-2931 | 2008-12-08 |
| 1639203979 | Kirstin Anastasia | Clinical Nurse Specialist | 1901 Post Rd # B, Fairfield, CT 06824-5721 | 2007-03-16 |
| 1184656951 | Sandra P Boltax-stern | Clinical Nurse Specialist | 78 Ansonia Rd, Woodbridge, CT 06525-2502 | 2006-07-06 |
| 1003868092 | Lisa Ann Cloutier | Clinical Nurse Specialist | 250 Main St Ste 22d, Windsor Locks, CT 06096-1904 | 2006-05-17 |
| 1407396120 | Child Mental Health Solutions, LLC | Clinical Nurse Specialist | 36 Old Kings Hwy S, Darien, CT 06820-4552 | 2017-02-28 |
| 1952851438 | Cara Bartos, Aprn LLC | Clinical Nurse Specialist | 152 Simsbury Rd, Building #9, Avon, CT 06001-3777 | 2016-10-10 |
| 1972761039 | Judith Olson Applegate | Clinical Nurse Specialist | 5 Crow Hill Rd, Uncasville, CT 06382-1118 | 2008-05-27 |
| 1144418955 | Theresa A Cutillo-schmitter | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2007-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.